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285035

Predictive Value of Sepsis Markers in Diabetic Ketoacidosis Patients Admitted to Intensive Care Unit

Article

Last updated: 03 Jan 2025

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Abstract

Background: Diabetic Ketoacidosis is one of the leading causes of intensive care unit (ICU) admissions. Recently, evidence suggests that procalcitonin (PCT) and lactate levels are helpful prognostic markers for diabetic ketoacidosis. Objective: To assess the PCT and serum lactate levels as predictors for morbidity and mortality in DKA patients admitted to the ICU. Patients and Methods: A prospective study included 180 patients conducted at Mansoura University Hospitals, Mansoura, Egypt, for a duration of 1.5 year-duration from January 2021 to June 2022. All patients had been subjected to clinical examination and medical history. Laboratory tests, comprising a complete blood count, PCT, and serum lactate levels were reported. Results: The median PCT level in the DKA group was 7.18 ng/ml, the median PCT level in the diabetic group without DKA was 5.8 ng/ml and in the control group, the median level was 0.7 ng/ml. The mean serum lactate level in the DKA group was 7.66 ± 0.86 mmol/L, the mean serum lactate level in the diabetic group without DKA was 4.11±0.77 mmol/L and in the control group, the mean serum lactate level was 2.01 ± 0.39 mmol/L. Conclusion: PCT and lactate levels were significantly higher in the DKA group in comparison to the diabetic without DKA group and the control group.  

DOI

10.21608/ejhm.2023.285035

Keywords

Diabetic ketoacidosis, Sepsis, Lactate, Procalcitonin, and ICU

Authors

First Name

Afaf

Last Name

Abdel Hafez

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Affiliation

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Email

hl@gmail.com

City

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Orcid

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First Name

El Saeid

Last Name

Qedra

MiddleName

-

Affiliation

Aga hospital

Email

alsaeedkedra@gmail.com

City

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Orcid

-

First Name

Hesham Khairy

Last Name

Ismael

MiddleName

-

Affiliation

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Email

-

City

-

Orcid

-

First Name

Medhat Mikhail

Last Name

Messeha

MiddleName

-

Affiliation

-

Email

-

City

-

Orcid

-

Volume

90

Article Issue

2

Related Issue

39562

Issue Date

2023-01-01

Receive Date

2023-02-11

Publish Date

2023-01-01

Page Start

2,074

Page End

2,079

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_285035.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=285035

Order

11

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Predictive Value of Sepsis Markers in Diabetic Ketoacidosis Patients Admitted to Intensive Care Unit

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Article

Created At

24 Dec 2024